MEDICARE: NORTH SHORE PHYSICIANS GROUP, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036098890	IL

General Provider Information

NPI Number	:	1619201894
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH SHORE PHYSICIANS GROUP, LLC

Provider Business Mailing Address
First Line	:	310 HAPP RD
Second Line	:	SUITE 207
City	:	NORTHFIELD
State	:	IL
Zip	:	60093-3455
Country	:	US
Telephone Number	:	847-784-5200
Fax Number	:

Provider Business Practice Location Address
First Line	:	310 HAPP RD
Second Line	:	SUITE 207
City	:	NORTHFIELD
State	:	IL
Zip	:	60093-3455
Country	:	US
Telephone Number	:	847-784-5200
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN/PRESIDENT
Name	:	DR. JOHN E CROGHAN
Credential	:	M.D.
Telephone Number	:	847-251-1500

Provider Enumeration Date	:	09/22/2009
Last Update Date	:	09/22/2009

Similar Medicare Providers

1821073339 — DR. CAROL ANN MEYNEN M.D.
Practice Location Address:

310 HAPP RD , SUITE 207
NORTHFIELD, IL
60093-3455

Practice Phone: 847-446-4370
Practice Fax: 847-784-5201

1720135502 — DR. GILLA PRIZANT DAVIS MD
Practice Location Address:

310 HAPP RD , SUITE 204
NORTHFIELD, IL
60093-3455

Practice Phone: 847-441-9933
Practice Fax: 847-441-9723

1508982174 — NEIL JOSEPH FIALKOW M.D.
Practice Location Address:

310 HAPP RD , SUITE 203
NORTHFIELD, IL
60093-3455

Practice Phone: 847-501-4418
Practice Fax: 847-501-4485

1487878732 — KATHERINE SHEPPARD CARRANE LCSW
Practice Location Address:

310 HAPP RD , 205
NORTHFIELD, IL
60093-3455

Practice Phone: 847-446-0800
Practice Fax:

1588829824 — DR. AMY Y WONG D.D.S.
Practice Location Address:

310 HAPP RD , SUITE 208
NORTHFIELD, IL
60093-3455

Practice Phone: 847-501-2882
Practice Fax: 847-501-2883

1871728568 — DR. DEBRA LYNN BEHRMAN PH.D.
Practice Location Address:

310 HAPP RD , SUITE 220
NORTHFIELD, IL
60093-3455

Practice Phone: 847-835-4100
Practice Fax:

Directions to “NORTH SHORE PHYSICIANS GROUP, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.